Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFMA |
Texto Completo: | https://tedebc.ufma.br/jspui/handle/tede/tede/4346 |
Resumo: | Oral and Oropharyngeal cancer is one of the cancers which has the highest mortality in the world and the prevention of the treatment delay is a key to decrease this high mortality. The objective of this study was to analyze temporal trends and factors associated to the interval between diagnose of these diseases established from the date of the histopathological report to the beginning of the treatment in Brazil between 2013 and 2019. A retrospective observational study was conducted with secondary data from the Brazilian Health System Database (DATASUS). The analyzed variables were year of treatment, sex, age group, anatomic region, staging of the disease, type of treatment and Federated Unit of Brazil. Thematic maps were created and the statistical analyses was performed using Chi-Square statistics (χ2). The sample of the study was 72,062 cases. The majority of the cases was men (79.32%), people older than 45 (91.15%) and lesions diagnosed in the oropharynx (31.3%) or regions of the tongue (29.3%). The treatment was earlier in young people, lip cancer and surgery treatment. There was high variability through time among the Federated Units of Brazil and just the Brazilian state of Santa Catarina showed decrease in those cases whose treatment had begun after 60 days for both oral and oropharyngeal cancer. Factors such as age group, anatomic region and type of treatment of the oral and oropharyngeal cancer are factors that influenced the interval between the diagnose and beginning of treatment of these diseases in Brazil and there was a decrease in the interval to begin the treatment specially in 2018 and 2019. |
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RODRIGUES, Vandilson Pinheirohttp://lattes.cnpq.br/1918728073955146PEREIRA, Erika Martinshttp://lattes.cnpq.br/3647104223593229CRUZ, Maria Carmen Fontoura Nogueira dahttp://lattes.cnpq.br/8702018716079552CONCEIÇÃO, Thalita Santanahttp://lattes.cnpq.br/2531724532042015PEREIRA, Érika Martinshttp://lattes.cnpq.br/3647104223593229CANTANHEDE, Luana Martinshttp://lattes.cnpq.br/5006787435621374RODRIGUES, Vandilson Pinheirohttp://lattes.cnpq.br/1918728073955146http://lattes.cnpq.br/0990644089157466BORGES, Marcio Vinícius Campos2022-11-29T14:40:59Z2011-11-24BORGES, Marcio Vinícius Campos. Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional. 2011. 65 f. Dissertação (Programa de Pós-Graduação em Odontologia/CCBS) - Universidade Federal do Maranhão, São Luís.https://tedebc.ufma.br/jspui/handle/tede/tede/4346Oral and Oropharyngeal cancer is one of the cancers which has the highest mortality in the world and the prevention of the treatment delay is a key to decrease this high mortality. The objective of this study was to analyze temporal trends and factors associated to the interval between diagnose of these diseases established from the date of the histopathological report to the beginning of the treatment in Brazil between 2013 and 2019. A retrospective observational study was conducted with secondary data from the Brazilian Health System Database (DATASUS). The analyzed variables were year of treatment, sex, age group, anatomic region, staging of the disease, type of treatment and Federated Unit of Brazil. Thematic maps were created and the statistical analyses was performed using Chi-Square statistics (χ2). The sample of the study was 72,062 cases. The majority of the cases was men (79.32%), people older than 45 (91.15%) and lesions diagnosed in the oropharynx (31.3%) or regions of the tongue (29.3%). The treatment was earlier in young people, lip cancer and surgery treatment. There was high variability through time among the Federated Units of Brazil and just the Brazilian state of Santa Catarina showed decrease in those cases whose treatment had begun after 60 days for both oral and oropharyngeal cancer. Factors such as age group, anatomic region and type of treatment of the oral and oropharyngeal cancer are factors that influenced the interval between the diagnose and beginning of treatment of these diseases in Brazil and there was a decrease in the interval to begin the treatment specially in 2018 and 2019.O câncer de boca e de orofaringe é um dos tipos de câncer com maior mortalidade em todo o mundo e uma das chaves para diminuir essa alta mortalidade é prevenir o tratamento tardio dessas doenças. O objetivo desta dissertação foi investigar mudanças temporais e fatores associados ao intervalo entre o diagnóstico do câncer de boca e de orofaringe estabelecido a partir da data do laudo histopatológico até início do tratamento no Brasil entre 2013 a 2019. Um estudo observacional retrospectivo de série temporal foi conduzido com dados secundários extraídos do Departamento de Informática do Sistema Único de Saúde do Brasil (DATASUS). As variáveis coletadas incluíram ano de tratamento, sexo, faixa etária, localização anatômica, estadiamento da doença, modalidade de tratamento e Unidade Federativa do Brasil. Foram construídos mapas temáticos e a análise estatística foi feita com o teste do qui-quadrado (χ2). A amostra do estudo totalizou 72.062 casos. A maioria dos casos ocorreu em indivíduos do sexo masculino (79,32%), em pessoas acima de 45 anos (91,15%) e lesões notificadas na orofaringe (31,3%) ou regiões da língua (29,3%). Houve tratamento mais precoce em lesões diagnosticadas em indivíduos mais jovens, em câncer de lábio, e na modalidade de tratamento cirúrgico. Houve grande variabilidade no comportamento temporal entre as Unidades Federativas no Brasil e apenas Santa Catarina apresentou decréscimo no percentual de casos com início de tratamento após 60 dias tanto para o câncer de boca quanto para o câncer de orofaringe. Os achados sugerem que houve diminuição do tempo para iniciar o tratamento especialmente nos anos 2018 e 2019 e fatores como faixa etária, localização anatômica e modalidade de tratamento do câncer de boca e de orofaringe são fatores que influenciaram no intervalo entre o diagnóstico e início do tratamento dessas doenças no Brasil.Submitted by Jonathan Sousa de Almeida (jonathan.sousa@ufma.br) on 2022-11-29T14:40:59Z No. of bitstreams: 1 MARCIOVINÍCIUSCAMPOSBORGES.pdf: 997269 bytes, checksum: 1505ad1425cdb1f1860d7cf2b1db1101 (MD5)Made available in DSpace on 2022-11-29T14:40:59Z (GMT). No. of bitstreams: 1 MARCIOVINÍCIUSCAMPOSBORGES.pdf: 997269 bytes, checksum: 1505ad1425cdb1f1860d7cf2b1db1101 (MD5) Previous issue date: 2011-11-24FAPEMACAPESapplication/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM ODONTOLOGIA/CCBSUFMABrasilDEPARTAMENTO DE MORFOLOGIA/CCBSNeoplasias Bucais;Neoplasias Orofaríngeas;Epidemiologia;Tempo para o Tratamento;Brasil.Mouth Neoplasms;Oropharyngeal Neoplasms;Epidemiology;Time-to- Treatment;Brazil.OdontologiaCancerologiaFatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacionalFactors associated with the interval between diagnosis and initiation of treatment in patients with oral and oropharyngeal cancer in Brazil: a national database analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALMARCIOVINÍCIUSCAMPOSBORGES.pdfMARCIOVINÍCIUSCAMPOSBORGES.pdfapplication/pdf997269http://tedebc.ufma.br:8080/bitstream/tede/4346/2/MARCIOVIN%C3%8DCIUSCAMPOSBORGES.pdf1505ad1425cdb1f1860d7cf2b1db1101MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82255http://tedebc.ufma.br:8080/bitstream/tede/4346/1/license.txt97eeade1fce43278e63fe063657f8083MD51tede/43462022-11-29 11:40:59.465oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttps://tedebc.ufma.br/jspui/PUBhttp://tedebc.ufma.br:8080/oai/requestrepositorio@ufma.br||repositorio@ufma.bropendoar:21312022-11-29T14:40:59Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA)false |
dc.title.por.fl_str_mv |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
dc.title.alternative.eng.fl_str_mv |
Factors associated with the interval between diagnosis and initiation of treatment in patients with oral and oropharyngeal cancer in Brazil: a national database analysis |
title |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
spellingShingle |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional BORGES, Marcio Vinícius Campos Neoplasias Bucais; Neoplasias Orofaríngeas; Epidemiologia; Tempo para o Tratamento; Brasil. Mouth Neoplasms; Oropharyngeal Neoplasms; Epidemiology; Time-to- Treatment; Brazil. Odontologia Cancerologia |
title_short |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
title_full |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
title_fullStr |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
title_full_unstemmed |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
title_sort |
Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional |
author |
BORGES, Marcio Vinícius Campos |
author_facet |
BORGES, Marcio Vinícius Campos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
RODRIGUES, Vandilson Pinheiro |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1918728073955146 |
dc.contributor.advisor-co1.fl_str_mv |
PEREIRA, Erika Martins |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/3647104223593229 |
dc.contributor.referee1.fl_str_mv |
CRUZ, Maria Carmen Fontoura Nogueira da |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/8702018716079552 |
dc.contributor.referee2.fl_str_mv |
CONCEIÇÃO, Thalita Santana |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/2531724532042015 |
dc.contributor.referee3.fl_str_mv |
PEREIRA, Érika Martins |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/3647104223593229 |
dc.contributor.referee4.fl_str_mv |
CANTANHEDE, Luana Martins |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/5006787435621374 |
dc.contributor.referee5.fl_str_mv |
RODRIGUES, Vandilson Pinheiro |
dc.contributor.referee5Lattes.fl_str_mv |
http://lattes.cnpq.br/1918728073955146 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0990644089157466 |
dc.contributor.author.fl_str_mv |
BORGES, Marcio Vinícius Campos |
contributor_str_mv |
RODRIGUES, Vandilson Pinheiro PEREIRA, Erika Martins CRUZ, Maria Carmen Fontoura Nogueira da CONCEIÇÃO, Thalita Santana PEREIRA, Érika Martins CANTANHEDE, Luana Martins RODRIGUES, Vandilson Pinheiro |
dc.subject.por.fl_str_mv |
Neoplasias Bucais; Neoplasias Orofaríngeas; Epidemiologia; Tempo para o Tratamento; Brasil. |
topic |
Neoplasias Bucais; Neoplasias Orofaríngeas; Epidemiologia; Tempo para o Tratamento; Brasil. Mouth Neoplasms; Oropharyngeal Neoplasms; Epidemiology; Time-to- Treatment; Brazil. Odontologia Cancerologia |
dc.subject.eng.fl_str_mv |
Mouth Neoplasms; Oropharyngeal Neoplasms; Epidemiology; Time-to- Treatment; Brazil. |
dc.subject.cnpq.fl_str_mv |
Odontologia Cancerologia |
description |
Oral and Oropharyngeal cancer is one of the cancers which has the highest mortality in the world and the prevention of the treatment delay is a key to decrease this high mortality. The objective of this study was to analyze temporal trends and factors associated to the interval between diagnose of these diseases established from the date of the histopathological report to the beginning of the treatment in Brazil between 2013 and 2019. A retrospective observational study was conducted with secondary data from the Brazilian Health System Database (DATASUS). The analyzed variables were year of treatment, sex, age group, anatomic region, staging of the disease, type of treatment and Federated Unit of Brazil. Thematic maps were created and the statistical analyses was performed using Chi-Square statistics (χ2). The sample of the study was 72,062 cases. The majority of the cases was men (79.32%), people older than 45 (91.15%) and lesions diagnosed in the oropharynx (31.3%) or regions of the tongue (29.3%). The treatment was earlier in young people, lip cancer and surgery treatment. There was high variability through time among the Federated Units of Brazil and just the Brazilian state of Santa Catarina showed decrease in those cases whose treatment had begun after 60 days for both oral and oropharyngeal cancer. Factors such as age group, anatomic region and type of treatment of the oral and oropharyngeal cancer are factors that influenced the interval between the diagnose and beginning of treatment of these diseases in Brazil and there was a decrease in the interval to begin the treatment specially in 2018 and 2019. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-11-24 |
dc.date.accessioned.fl_str_mv |
2022-11-29T14:40:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
BORGES, Marcio Vinícius Campos. Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional. 2011. 65 f. Dissertação (Programa de Pós-Graduação em Odontologia/CCBS) - Universidade Federal do Maranhão, São Luís. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/tede/4346 |
identifier_str_mv |
BORGES, Marcio Vinícius Campos. Fatores associados ao intervalo entre o diagnóstico e início do tratamento em pacientes com câncer de boca e de orofaringe no Brasil: uma análise da base de dados nacional. 2011. 65 f. Dissertação (Programa de Pós-Graduação em Odontologia/CCBS) - Universidade Federal do Maranhão, São Luís. |
url |
https://tedebc.ufma.br/jspui/handle/tede/tede/4346 |
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por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Federal do Maranhão |
dc.publisher.program.fl_str_mv |
PROGRAMA DE PÓS-GRADUAÇÃO EM ODONTOLOGIA/CCBS |
dc.publisher.initials.fl_str_mv |
UFMA |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
DEPARTAMENTO DE MORFOLOGIA/CCBS |
publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
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